NASA Procedures and Guidelines
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NPR 8621.1 Eff. Date: June 02, 2000 Cancellation Date: February 11, 2004	NASA Procedures and Guidelines for Mishap Reporting, Investigating, and Recordkeeping
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TO: Responsible Organization

FROM: Appointing Official

SUBJECT: Mishap Summary Report for (Mishap Title)

This letter certifies that all corrective actions associated with the aforementioned mishap and subsequent investigation are closed.

This package is the complete official documentation associated with (Mishap Title). Mishap investigation board files containing raw data and information are maintained by (organization and person). (This sentence can be deleted if desired).

Attached are:

1. Mishap Investigation Report (Enclosure 1)

2. Corrective Action Plan (Enclosure 2)

3. Final Corrective Action Status (Enclosure 3)

This report, developed by the Appointing Official, documents the closure status of all corrective action items. It shall also provide any changes to the corrective action plan and their closure status.

With the submission of this report, the Appointing Official has completed all required functions as specified in NPG 8621.1, "Procedures and Guidelines for Mishap Reporting, Investigating, and Recordkeeping."
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Appointing Official

DISTRIBUTION:
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